对子宫肌瘤患者按改良筋膜内子宫切除术（试验组）及经腹筋膜外全子宫切除术（对照组）两种术式进行分层随机抽样，各取３０例进行临床对照分析。结果试验组术中出血量（２１０±３０ｍｌ）及手术时间（７４±２０ｍｉｎ）明显低于对照组（２９０±４５ｍｌ，９８±２６ｍｉｎ），ｐ＜００１；术后７２小时内阴道排出物主要为淡黄液体，出血少；手术应用抗生素总量少、时间短，术后住院时间明显短于对照组。改良经腹筋膜内子宫切除术切除了宫体及宫颈鳞－柱交接部及其以内的宫颈粘膜、腺体及间质，在基本不改变盆底及阴道结构与血供的基础上，达到了治疗与防炎防癌的目的，直得临床推广应用 Patients with uterine fibroids by modified fascia hysterectomy (experimental group) and transabdominal total hysterectomy (control group) two kinds of surgical stratified random sampling, 30 cases were taken for clinical control analysis. Results The blood loss (210 ± 30ml) and operation time (74 ± 20min) in the experimental group were significantly lower than those in the control group (290 ± 45ml, 98 ± 26min), p <001; vaginal discharge within 72 hours As a light yellow liquid, less bleeding; surgical application of less total antibiotics, a short time, postoperative hospitalization was significantly shorter than the control group. Improved intra-abdominal fascia hysterectomy resection of the uterine and cervical squamous-column junction and within the cervical mucosa, glands and stroma, without changing the pelvic floor and vaginal structure and blood supply, based on the reached The purpose of treatment and anti-inflammatory anti-cancer, straight to clinical promotion and application